Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care

OBJECTIVES: The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT- 10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long...

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Veröffentlicht in:The Journal of nutrition, health & aging health & aging, 2016, Vol.20 (1), p.22-27
Hauptverfasser: Wakabayashi, Hidetaka, Matsushima, M
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description OBJECTIVES: The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT- 10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care. DESIGN: Cross-sectional study. SETTING: Geriatric health services facilities, acute hospitals, and the community. PARTICIPANTS: Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237). MEASUREMENTS: The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index. RESULTS: There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score > 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis. CONCLUSIONS: Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.
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We assessed the associations among the EAT- 10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care. DESIGN: Cross-sectional study. SETTING: Geriatric health services facilities, acute hospitals, and the community. PARTICIPANTS: Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237). MEASUREMENTS: The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index. RESULTS: There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score &gt; 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis. CONCLUSIONS: Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.</description><identifier>ISSN: 1279-7707</identifier><identifier>EISSN: 1760-4788</identifier><identifier>DOI: 10.1007/s12603-016-0671-8</identifier><identifier>PMID: 26728929</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Aging ; Cross-Sectional Studies ; Data collection ; Deglutition ; Deglutition Disorders - complications ; Deglutition Disorders - diagnosis ; Dysphagia ; Eating ; elderly ; Female ; females ; Frailty ; Geriatric Assessment ; Geriatrics ; Geriatrics/Gerontology ; Health services ; Hospitals ; Humans ; ingestion ; Long term health care ; Long-Term Care ; Male ; males ; Malnutrition ; Malnutrition - epidemiology ; Malnutrition - etiology ; Mass Screening ; Medicine ; Medicine &amp; Public Health ; Neurosciences ; Nursing homes ; Nutrition ; Nutrition Assessment ; Nutritional Status ; Older people ; Primary Care Medicine ; Quality of Life Research ; Questionnaires ; Regression analysis ; Rehabilitation ; Residence Characteristics ; risk ; screening ; Surveys and Questionnaires ; Swallowing ; Therapists</subject><ispartof>The Journal of nutrition, health &amp; aging, 2016, Vol.20 (1), p.22-27</ispartof><rights>Serdi and Springer-Verlag France 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-169481ca44e3aa4f9fb751ca5f1764740ee0a9fa3f0b48ca5754d2f8b804eb3f3</citedby><cites>FETCH-LOGICAL-c406t-169481ca44e3aa4f9fb751ca5f1764740ee0a9fa3f0b48ca5754d2f8b804eb3f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12603-016-0671-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12603-016-0671-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,4025,27928,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26728929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wakabayashi, Hidetaka</creatorcontrib><creatorcontrib>Matsushima, M</creatorcontrib><title>Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care</title><title>The Journal of nutrition, health &amp; aging</title><addtitle>J Nutr Health Aging</addtitle><addtitle>J Nutr Health Aging</addtitle><description>OBJECTIVES: The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT- 10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care. DESIGN: Cross-sectional study. SETTING: Geriatric health services facilities, acute hospitals, and the community. PARTICIPANTS: Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237). MEASUREMENTS: The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index. RESULTS: There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score &gt; 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis. CONCLUSIONS: Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cross-Sectional Studies</subject><subject>Data collection</subject><subject>Deglutition</subject><subject>Deglutition Disorders - complications</subject><subject>Deglutition Disorders - diagnosis</subject><subject>Dysphagia</subject><subject>Eating</subject><subject>elderly</subject><subject>Female</subject><subject>females</subject><subject>Frailty</subject><subject>Geriatric Assessment</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Humans</subject><subject>ingestion</subject><subject>Long term health care</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>males</subject><subject>Malnutrition</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - etiology</subject><subject>Mass Screening</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Neurosciences</subject><subject>Nursing homes</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Older people</subject><subject>Primary Care Medicine</subject><subject>Quality of Life Research</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Rehabilitation</subject><subject>Residence Characteristics</subject><subject>risk</subject><subject>screening</subject><subject>Surveys and Questionnaires</subject><subject>Swallowing</subject><subject>Therapists</subject><issn>1279-7707</issn><issn>1760-4788</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc9u1DAQxiMEoqXwAFzAEmfDOPHazhG1_JMqcYCeLScZ77pK4q3tgPaheEcmyoI4IVmy_c3vG8vzVdVLAW8FgH6XRa2g4SAUB6UFN4-qS6EVcKmNeUznWrdca9AX1bOc7wHkrjXqaXVRK12btm4vq183p3w8uH1wzOWMtAbWnVg5IBPAQ8GJoSth3p_LE86FlRhHFvIqxT64Qp6foRzYvJQUSoizG1kuriyEzANzfQk_SMfMomeDC-OJjaRQ0zAzHAdMpIR5IG1Y3JhZwoclpBUY47znBdPEepfwefXEUx1fnPer6u7jh-_Xn_nt109frt_f8l6CKlyoVhrROymxcU761nd6R_edp-lILQERXOtd46GThnS9k0PtTWdAYtf45qp6s_U9pviwYC72Pi6JvpWtIFa2pgUgSmxUn2LOCb09pjC5dLIC7BqQ3QKyFJBdA7KGPK_OnZduwuGv408iBNQbkI_rADD98_R_ur7eTN5F6_YpZHv3rSYAAIwGqZrffg2o0g</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>Wakabayashi, Hidetaka</creator><creator>Matsushima, M</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>2016</creationdate><title>Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care</title><author>Wakabayashi, Hidetaka ; Matsushima, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-169481ca44e3aa4f9fb751ca5f1764740ee0a9fa3f0b48ca5754d2f8b804eb3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cross-Sectional Studies</topic><topic>Data collection</topic><topic>Deglutition</topic><topic>Deglutition Disorders - complications</topic><topic>Deglutition Disorders - diagnosis</topic><topic>Dysphagia</topic><topic>Eating</topic><topic>elderly</topic><topic>Female</topic><topic>females</topic><topic>Frailty</topic><topic>Geriatric Assessment</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Health services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>ingestion</topic><topic>Long term health care</topic><topic>Long-Term Care</topic><topic>Male</topic><topic>males</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - etiology</topic><topic>Mass Screening</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Neurosciences</topic><topic>Nursing homes</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>Nutritional Status</topic><topic>Older people</topic><topic>Primary Care Medicine</topic><topic>Quality of Life Research</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Rehabilitation</topic><topic>Residence Characteristics</topic><topic>risk</topic><topic>screening</topic><topic>Surveys and Questionnaires</topic><topic>Swallowing</topic><topic>Therapists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wakabayashi, Hidetaka</creatorcontrib><creatorcontrib>Matsushima, M</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; 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aging</jtitle><stitle>J Nutr Health Aging</stitle><addtitle>J Nutr Health Aging</addtitle><date>2016</date><risdate>2016</risdate><volume>20</volume><issue>1</issue><spage>22</spage><epage>27</epage><pages>22-27</pages><issn>1279-7707</issn><eissn>1760-4788</eissn><abstract>OBJECTIVES: The 10-item Eating Assessment Tool (EAT-10) is a self-administered questionnaire for dysphagia screening, with each item scored from 0 to 4. We assessed the associations among the EAT- 10 score, nutritional status and activities of daily living (ADL) in elderly individuals requiring long-term care. DESIGN: Cross-sectional study. SETTING: Geriatric health services facilities, acute hospitals, and the community. PARTICIPANTS: Elderly individuals ≥65 years of age with dysphagia or possible dysphagia (N=237). MEASUREMENTS: The EAT-10, the Mini Nutritional Assessment Short Form (MNA-SF) and the Barthel Index. RESULTS: There were 90 males and 147 females. Mean age was 82 ± 8 years. Eighty-nine were in geriatric health services facilities, 28 were in acute hospitals, and 120 were community-dwelling. The median Barthel Index score was 55 (interquartile range: 25, 80). The median EAT-10 score was 1 (interquartile range: 0, 9), and 101 respondents a score &gt; 3, indicating the presence of dysphagia. The MNA-SF revealed that 81 were malnourished, 117 were at risk of malnutrition, and 39 had a normal nutritional status. The Barthel Index score and MNA-SF score were significantly lower in those with an EAT-10 score between 3 and 40, compared to those with an EAT-10 score between 0 and 2. The EAT-10 has an independent effect on the Barthel Index and the MNA-SF by adjusting for covariates such as age, gender, and setting in multiple regression analysis. CONCLUSIONS: Dysphagia assessed by the EAT-10 is associated with nutritional status and ADL in elderly individuals requiring long-term care.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>26728929</pmid><doi>10.1007/s12603-016-0671-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Activities of Daily Living
Aged
Aged, 80 and over
Aging
Cross-Sectional Studies
Data collection
Deglutition
Deglutition Disorders - complications
Deglutition Disorders - diagnosis
Dysphagia
Eating
elderly
Female
females
Frailty
Geriatric Assessment
Geriatrics
Geriatrics/Gerontology
Health services
Hospitals
Humans
ingestion
Long term health care
Long-Term Care
Male
males
Malnutrition
Malnutrition - epidemiology
Malnutrition - etiology
Mass Screening
Medicine
Medicine & Public Health
Neurosciences
Nursing homes
Nutrition
Nutrition Assessment
Nutritional Status
Older people
Primary Care Medicine
Quality of Life Research
Questionnaires
Regression analysis
Rehabilitation
Residence Characteristics
risk
screening
Surveys and Questionnaires
Swallowing
Therapists
title Dysphagia assessed by the 10-item eating assessment tool is associated with nutritional status and activities of daily living in elderly individuals requiring long-term care
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